Valacyclovir and Tenofovir Disoproxil Interaction
Drug interaction information between Valacyclovir and Tenofovir Disoproxil.
Valacyclovir and Tenofovir Disoproxil have a documented minor interaction in FDA labeling.
FDA drug labeling documents a minor-severity interaction between Valacyclovir and Tenofovir Disoproxil. Major interactions are generally avoided, moderate ones may need monitoring or a dose adjustment, and minor ones are usually low-risk. This page shows the documented mechanism and guidance. Label-documented interactions are not a complete safety review, so always confirm your own medications with a pharmacist or doctor. Educational information, not medical advice.
How They Interact
Both of these drugs are removed from the body by the kidneys, and taking them together can put extra stress on your kidney function.
What To Do
Your doctor should check your kidney function regularly while you are using these medications together.
FDA Label Information
Some examples include, but are not limited to, acyclovir, cidofovir, ganciclovir, valacyclovir, valganciclovir, aminoglycosides (e.g., gentamicin), and high-dose or multiple NSAIDs [see Warnings and Precautions ( 5.2)].
Valacyclovir Also Interacts With
View all Valacyclovir interactions →Tenofovir Disoproxil Also Interacts With
- Itraconazole moderate
- Acyclovir minor
- Gentamicin minor
- Darunavir minor
- Ledipasvir/Sofosbuvir minor
Frequently Asked Questions
Can I take Valacyclovir and Tenofovir Disoproxil together?
This is a minor interaction. Your doctor should check your kidney function regularly while you are using these medications together.
How serious is the interaction between Valacyclovir and Tenofovir Disoproxil?
This interaction is classified as "minor" severity by the FDA. Minor interactions are unlikely to cause significant problems but should still be mentioned to your healthcare provider.
Why do Valacyclovir and Tenofovir Disoproxil interact?
Both of these drugs are removed from the body by the kidneys, and taking them together can put extra stress on your kidney function.
Understanding the Valacyclovir and Tenofovir Disoproxil Interaction
FDA-approved prescribing information for these two drugs flags their combination as a minor-severity interaction. Valacyclovir belongs to the Antiviral class and Tenofovir Disoproxil belongs to the Nucleotide Reverse Transcriptase Inhibitor class - two categories that can collide when co-prescribed. The mechanism described in FDA labeling is: Both of these drugs are removed from the body by the kidneys, and taking them together can put extra stress on your kidney function. Severity tiers matter: major flags generally advise avoidance, moderate flags often require monitoring or dose adjustment, and minor flags may only call for awareness.
Context around a specific patient determines real-world impact. Valacyclovir has 3 total documented interactions on file in this dataset, and Tenofovir Disoproxil has 14. Each additional medication compounds the interaction surface, which is why pharmacists run full-profile checks rather than evaluating one pair at a time. FDA-derived guidance for this pair is: Your doctor should check your kidney function regularly while you are using these medications together. Timing of doses, renal and hepatic function, age, and other concurrent prescriptions all shape whether a labeled interaction matters clinically.
An interaction flag is not a verdict. A large share of labeled interactions are managed routinely in clinical practice, the fix may be as simple as spacing doses or adding a monitoring test. Others require the prescriber to choose a different medication entirely. This page surfaces FDA-sourced labeling and openFDA data for educational purposes only; it is not medical advice and cannot account for your full clinical picture. Never start, stop, or adjust either Valacyclovir or Tenofovir Disoproxil based on a web page, speak with your prescriber or pharmacist before making any change.
Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. Always consult your healthcare provider about drug interactions.
Read our methodology - how this data is sourced, computed, and verified.